Healthcare Revenue Cycle Management, ICD-10, Claims Reimbursement, Medicare, Medicaid

Healthcare Spending

Medical Billing Needs Revenue Cycle Management Transparency

by Jacqueline DiChiara

Medical billing problems, such as unpaid medical bills, the acquisition of medical debt, and a detrimental impact on care access, are negatively affecting the healthcare industry. Twenty percent of over 1,200 surveyed adults had trouble...

Affordable Care Act Creates Tax-Funded Expenditure Majority

by Jacqueline DiChiara

Over 64 percent of healthcare spending is tied to tax-funded expenditures, according to new data from the American Journal of Public Health. This reported number apparently contradicts commonplace perceptions about the cost of healthcare. Researchers...

Medicare Spending Up, Medicare Shared Savings Requires Risk

by Jacqueline DiChiara

Medicare spending is on the rise as the sizable impact of high-priced drugs on healthcare spending evolves. Accountable Care Organizations (ACOs) appear to be either in, out, or somewhere in between on the financial risk spectrum. Will ACOs take...

CMS’s Medicare Drug Spending Dashboard Notes Spending Spike

by Jacqueline DiChiara

The Centers for Medicare & Medicaid Services (CMS) has released a Medicare Drug Spending dashboard to address prescription drugs’ affordability. CMS aims to make drug spending trends more transparent for healthcare providers. CMS...

Can Automation Investment Keep Insurance Claim Costs Down?

by Jacqueline DiChiara

Hospitals are focusing on various outsourcing endeavors or different manual approaches to maintain a healthy revenue cycle. But is it working as planned? Perhaps only at a steep price. Expenditures for late payment follow-up...

How to Bend Healthcare’s Cost Curve Over the Next Decade

by Jacqueline DiChiara

Healthcare costs are growing but not as quickly as they once were. The big question is why? It’s a tough one to answer. To put it lightly, the delicate art of pinpointing specific or collective revenue cycle management causes poses...

CMS, HHS Get Social with $157M in Medicare, Medicaid Funding

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) has revealed a new 5-year $157 million funding opportunity this week to help advance the overall quality and affordability of Medicare and Medicaid. The health-related social needs of Medicare...

5 Supply Chain Management Questions and Answers

by Jacqueline DiChiara

A chain is no stronger than its weakest link. But strengthening the most fragile links when many moving parts collectively bump into each other along the way is no easy task when it comes to supply chain management. Here are 5 supply chain management...

Congress Passes 2-Year Cadillac Tax Delay, Repeal Possible

by Jacqueline DiChiara

Congress has passed a two-year delay of the Cadillac Tax – a 40% non-deductible tax on the cost of employer-sponsored health coverage that surpasses specific benefit thresholds, part of the Omnibus spending package. Congress passed the...

Why HOPD Medicare Expenditures Need Equalized Payment Rates

by Jacqueline DiChiara

Medicare expenditures for hospital outpatient departments (HOPD) services are apparently on the rise, especially in recent years. A new report to Congressional requesters from the United States Government Accountability Office (GAO) examines...

Is Increased Medicaid Coverage the Chronic Disease Solution?

by Jacqueline DiChiara

What do Manhattan rents, Ferraris, college tuition, and chronic disease all have in common? They are all really expensive. What is especially problematic is that chronic diseases are not only very costly, but also very common within the healthcare...

Public Health Funding for Disease Prevention Drops by $40B

by Jacqueline DiChiara

Per capita health spending has dropped by over $40 billion from 2009 to 2014, confirm researchers David U. Himmelstein, MD, Lecturer at Harvard Medical School and Professor at the City University of New York (CUNY), and Steffie Woolhandler, MD,...

Senators Push Tax Deductions for Healthy Lifestyle Choices

by Jacqueline DiChiara

Would being paid to purchase a new gym membership promote you to take up a new workout routine? Such a concept may soon become a reality, even without a government mandated initiative. Last week, four United States Senators – John Thune...

Expensive Hepatitis C Drugs Quadrupled Prescription Spending

by Jacqueline DiChiara

Healthcare spending for the privately insured has steadily increased over the last 5 years, confirms today’s fifth annual healthcare spending report from the Health Care Cost Institute (HCCI). An eclectic rollercoaster of various numbers...

Is U.S. Healthcare Really a Big Spender in Global Contrast?

by Jacqueline DiChiara

Healthcare spending nationwide is more expensive in comparison with our international neighbors due to greater medical technology implementation and higher healthcare prices, confirms a Commonwealth Fund issue brief. But is the U.S. really that...

PA Receives $886K Award in CCBHC Behavioral Disorder Funding

by Jacqueline DiChiara

It is perhaps becoming increasingly difficult to peruse the news without stumbling across a story on behavioral health. Whether bombs are falling in Boston or bullets are flying across a college campus, both political debates and Monday morning...

Performance-Based Pay Hot as Healthcare Exec Salaries Rise

by Jacqueline DiChiara

Median base healthcare salaries are on the up and up, according to recently released results within a 2015 executive healthcare and hospital compensation survey press release from Sullivan, Cotter and Associates. Data collected from...

How to Achieve Value Within the Value-Based Care Transition

by Jacqueline DiChiara

The Department of Health and Human Services (HHS) is on a mission to associate 90 percent of Medicare payments to value within the next three years and Congressional passage of the Medicare Access and CHIP Reauthorization Act of 2015...

CMS Streamlines Medicaid Managed Care Process Via Rate Guide

by Sara Heath

Managed care delivery systems are an integral part of the Medicaid and Children’s Health Insurance Plan (CHIP) programs, with nearly 80 percent of Medicaid and CHIP enrollees served via managed care. The high number of individuals served...

MGMA: Healthcare Facility Operations Spending Grows By 12%

by Sara Heath

As the needs of healthcare facilities continue to increase, practices are spending more money on enhanced technology and nonphysician providers (NPPs), according to a Medical Group Management Association (MGMA) press release. In the Cost and...


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